Individual provider Active NPI

Ziad Jaara, M.D.

Pediatrics Physician
Toledo, OH

National Provider Identifier

1215933155

Registry record updated Nov 3, 2023

On this page

Key facts
NPPES NPI Registry
Medicare participation
National Provider Directory
Organizations & group practices2
NPI Registry JSON
Other providers in Toledo, OH
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Pediatrics PhysicianTaxonomy code 208000000X
License: 35063131 Issued in OH
Practice address: 2150 W Central Ave
Toledo, OH 43606-3846
Phone: (419) 291-5599
Fax: (419) 291-6466
NPI assigned: Jun 24, 2005
Sex: Male
Sole proprietor: No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician	208000000X	35063131	OH	Primary

Addresses

Primary practice location

2150 W Central Ave
Toledo, OH 43606-3846

Mailing address

2150 W Central Ave
Toledo, OH 43606-3846
Phone (419) 291-5599

Other identifiers 18

Identifier	Type	State	Issuer
000000561986	Other		ANTHEM
0914265	Other	OH	BCMH BUREAU CHILDREN W/ME
71283	Other	OH	NATIONWIDE
141976	Other	MI	PRIORITY HEALTH
4081867	Medicaid	MI
000000064893	Other	OH	ANTHEM COMMERICAL
344428256054	Other	OH	CARESOURCES
01514	Other	OH	PARAMOUNT
0914265	Medicaid	OH
000000064893	Other	OH	ANTHEM MEDICAID
344428256	Other	OH	EMERALD
7339	Other	MI	HEALTH PLAN OF MI
344428256031	Other	OH	HEALTHNET FEDERAL SER
5903139	Other	MI	PRIORITY HEALTH
2350638003	Other	OH	CIGNA
02236	Other		PARAMOUNT
4359989	Medicaid	MI
5903139	Other	OH	AETNA

Electronic endpoints 1

Type	Endpoint	Use	Affiliation
Direct Messaging Address	zjaara13551@epicdirect.promedica.org

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Enrolled
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
35063131	OH	MD	Pediatrics Physician

Practice roles

Organization	Specialty	Status	New patients
Promedica Central Physicians		Past	Accepting new patients
Lima Memorial Joint Operating Company		Past	Accepting new patients

Interoperability endpoints

Direct secure messaging: zjaara13551@direct.promedica.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Lima Memorial Joint Operating Company
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPD (past)
Promedica Central Physicians
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
NPD (past)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1215933155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063846",
            "telephone_number": "419-291-5599",
            "fax_number": "419-291-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063846",
            "telephone_number": "419-291-5599",
            "fax_number": "419-291-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAARA",
        "first_name": "ZIAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35063131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000561986",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMH BUREAU CHILDREN W/ME",
            "identifier": "0914265",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONWIDE",
            "identifier": "71283",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "141976",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4081867",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM COMMERICAL",
            "identifier": "000000064893",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCES",
            "identifier": "344428256054",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "01514",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0914265",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM MEDICAID",
            "identifier": "000000064893",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMERALD",
            "identifier": "344428256",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF MI",
            "identifier": "7339",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET FEDERAL SER",
            "identifier": "344428256031",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "5903139",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2350638003",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "02236",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4359989",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5903139",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zjaara13551@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.